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SENIOR LIVING PROPERTIES II LLC NPI 1194169243


NPI Information

NPI: 1194169243
Provider Name: SENIOR LIVING PROPERTIES II, LLC

Doing Business As: SAVANNAH COURT OF LAKE WALES

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2172678

Address:
12 E GROVE AVE
LAKE WALES, FL
ZIP 33853
Phone: (863) 679-8246
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SENIOR LIVING PROPERTIES II, LLC is an assisted living facility in Lake Wales, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SENIOR LIVING PROPERTIES II, LLC NPI is 1194169243. The provider is registered as an organization entity type.
The provider Is Doing Business As Savannah Court Of Lake Wales.

The provider's business location address is:

12 E GROVE AVE
LAKE WALES, FL
ZIP 33853-760
Phone: (863) 679-8246

The provider's authorized official is Uri Rubin .
The authorized official title is Cfo and has the following contact phone number (954) 691-1030.

The CLIA number assigned to this NPI record is 10D2172678 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2013 and was last updated on 4/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL9382FLORIDANo
2310400000XAssisted Living FacilityAL9243FLORIDANo
3310400000XAssisted Living FacilityAL9383FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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